Tough decisions : cases in medical ethics / John M. Freeman, Kevin McDonnell.

Freeman, John Mark.
Oxford New York : Oxford University Press, c2001.
Added to CLICnet on 09/08/2015


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Notes:

  • Ch. 1. Maggie — Summary: A retirement home resident suffers cardiac arrest. Should she be resuscitated? — Issues: Do-not-resuscitate orders – should they always be followed? Legal liability and medical decisions, patient control, advance directives — Ch. 2. Jill — Summary: A patient with disseminated breast cancer approaches a physician for help in her dying — Issues: Physician-assisted suicide, autonomy, the social role of physicians — Ch. 3. Ed Martinez — Summary: A patient suffers cardiac arrest during routine surgery. How aggressively should his care be managed, especially as the prognosis worsens? — Issues: Killing vs letting die: when, how, and why may support be withdrawn? May a respirator be removed? May feeding be discontinued? Organ transplantation, Euthanasia — Ch. 4. Leon — Summary: Worsening headaches and confused speech lead Leon’s doctor to recommend a brain biopsy. Should Leon and his wife consent? — Issues: Informed consent and rational decision making — Ch. 5. Ms. Williams — Summary: A patient chooses the characteristics she wants in her physician — Issues: Paternalism, honesty, and the art of medicine — Ch. 6. Wanda — Summary: A woman with HIV infection is unable and unwilling to control her sexual behavior, posing a threat to the health of many in the community — Issues: Confidentiality, rights of the handicapped, and the politics of disease — Ch. 7. Maxistop Study — Summary: An Institutional Review Board examines a proposal and consent form for human subjects research — Issues: Risks and benefits of research. Incentives for subjects and investigators. Informed consent. Ethics of placebo trials — Ch. 8. Joey, Jessica, Roger, Tom, and Marti — Summary: A group of children in a crowded intensive care unit. Space is needed for new patients — Issues: Rights, responsibilities, obligations, and social utility. Conflicts and their interaction with varying medical disorders and prognoses — Ch. 9. Marti Revisited — Summary: Staff on rounds discuss long-

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